Record Details

Management of patients presenting with diarrhoea to a regional emergency department in KwaZulu-Natal: Call for clearer, more relevant guidance

Southern African Journal of HIV Medicine


 
 
Field Value
 
Title Management of patients presenting with diarrhoea to a regional emergency department in KwaZulu-Natal: Call for clearer, more relevant guidance
 
Creator Kudsk-Iversen, Soren; Stanger Provincial Hospital, Stanger, KwaZulu-Natal, South Africa Gilbert, John Paul; Stanger Provincial Hospital, Stanger, KwaZulu-Natal, South Africa Azarath, Anneshree; Stanger Provincial Hospital, Stanger, KwaZulu-Natal, South Africa
 
Subject Emergency Medicine; Diarrhoeal illness HIV; AIDS; Infectious diarrhoea; Non-infectious diarrhoea; Emergency medicine
Description Background. HIV is prevalent throughout South Africa, and diarrhoea is a common presentation to the emergency department (ED) among both HIV-infected and -uninfected individuals. Method. We audited the management of diarrhoea against standard guidelines in the ED of a regional hospital in KwaZulu-Natal. Patients presenting with diarrhoea as their chief complaint were eligible and data were collected prospectively. Results. A total of 72 patients were included: 58 (81%) of patients were HIV-positive with an average CD4+ count of 180 cells/µl. A total of 34 stool samples were sent for standard microscopy and culture (M&C), among which 26 were positive (76%). Forty-three patients (60%) received antibiotics, 15 of whom had positive stool M&C. In all cases, the final diagnosis was listed as acute gastroenteritis without further specification, and antibiotic use according to guidelines appeared inconsistent. Conclusion. Based on this audit, we suggest that current guidelines are not clear concerning management of acute diarrhoea in HIV-infected individuals, and that the lack of clear management strategies is likely to affect patient safety and increase antibiotic resistance.
 
Publisher AOSIS Publishing
 
Date 2014-09-08
 
Type — Prospective observational study; Audit
Format application/pdf
Identifier 10.4102/hivmed.v15i3.9
 
Source Southern African Journal of HIV Medicine; Vol 15, No 3 (2014); 102-103
 
Language en
 
Coverage South Africa; KwaZulu-Natal; Stanger Hospital; Stanger 09/02/13 - 12/04/13 Age; Gender; HIV status; Admission; Pharmaceutical treatment; Stool microscopy; Blood test
Rights Copyright information Ownership of copyright in terms of the Work remains with the authors.The authors retain the non-exclusive right to do anything they wish with the Work, provided attribution is given to the place and detail of original publication, as set out in the official citation of the Work published in the journal. The retained right specifically includes the right to post the Work on the authors’ or their institutions’ websites or institutional repository.Publication and user license The authors grant the title owner and the publisher an irrevocable license and first right and perpetual subsequent right to (a) publish, reproduce, distribute, display and store the Work in  any form/medium, (b) to translate the Work into other languages, create adaptations, summaries or extracts of the Work or other derivative works based on the Work and exercise all of the rights set forth in (a) above in such translations, adaptations, summaries, extracts and derivative works, (c) to license others to do any or all of the above, and (d) to register the Digital Object Identifier (DOI) for the Definitive Work.The authors acknowledge and accept the user licence under which the Work will  be published as set out in http://creativecommons.org/licenses/by/2.5/za/legalcode (Creative Commons Attribution License South Africa)The undersigned warrant that they have the authority to license these publication rights and that no portion of the copyright to the Work has been assigned or licensed previously to any other party.Disclaimer: The publisher, editors and title owner accept no responsibility for any statement made or opinion expressed by any other person in this Work. Consequently, they will not be liable for any loss or damage sustained by any reader as a result of his or her action upon any statement or opinion in this Work. In cases where a manuscript is NOT accepted for publication by the editorial board, the portions of this agreement regarding the publishing licensing shall be null and void and the authors will be free to submit this manuscript to any other publication for first publication.Our copyright policies are author-friendly and protect the rights of our authors and publishing partners.